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LAURA'S HOUSE (3)
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LAURA'S HOUSE (3)
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Entry Properties
Last modified
8/23/2021 12:38:47 PM
Creation date
11/4/2009 11:29:37 AM
Metadata
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Template:
Contracts
Company Name
LAURA'S HOUSE
Contract #
A-2009-041-003
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/20/2009
Expiration Date
6/30/2010
Insurance Exp Date
10/11/2009
Destruction Year
2015
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" •----TM vl`I%A 11 IV/'%1 ` vI- I-IML�ILI <br />PRODUCER (949) 709-8800 FAX (949) 709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 255 <br />I 1 IINQLJFXNItlLrG 1 10/03/2008 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />RSM, CA 92688 <br />INSURED <br />Laura's House <br />999 Corporate Drive Ste. 225 <br />Ladera Ranch, Ca 92694 <br />INSURER A: NONPROFITS' INSURANCE ALLIANCE <br />INSURERB: <br />INSURERC: <br />INSURER D: <br />rnvrowno� <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />II T R <br />DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />10/11/2009 <br />LIMITS <br />GENERAL LIABILITY <br />2008-03889-NPO <br />10/11/2008 <br />EACH OCCURRENCE <br />$ 1 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ ZOO 000 <br />MED EXP (Any one person) <br />A <br />CLAIMS MADE a OCCUR <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 3, 00,000 <br />GENT AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS - COMP/OP AGG <br />$ 3 00O 000 <br />PRO- <br />POLICY JECT X LOC <br />AUTOMOBILE <br />LIABILITY <br />2008-03889-NPO <br />10/11/2008 <br />10/11/2009 <br />X <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ALL OWNED AUTOS <br />1 000 000 <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />SCHEDULED AUTOS <br />- <br />- - <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />'� <br />BODILY INJURY <br />�-- <br />(Per accident) <br />$ <br />�+ <br />PROPERTY DAMAGE <br />S <br />� <br />~� <br />-��'• <br />(Per accident) <br />GARAGE LIABILITY <br />- <br />ANY AUTO <br />AUTO ONLY - EAACCIDENT <br />S <br />OTHER THAN EA ACC <br />$ <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />2008-03889-UMB <br />10/11/2009 <br />10/11/2009 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X OCCUR CLAIMS MADE <br />AGGREGATE <br />$ 1 1 000 000 <br />A <br />$ <br />HDEDUCTIBLE <br />X RETENTION $ 10,000 <br />$ <br />WORKERS COMPENSATION AND <br />WC STATU-EMPLOYERS' <br />LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />EXCLUDED?It <br />E.L. EACH ACCIDEOFFICERIMEMBER <br />E.L. DISEASE - EA <br />yes, describe under <br />PECIAL PROVISIONSbelowE.L. <br />DISEASE -PO <br />$3,000,000 AGG/$1,000,000 OCC <br />OTHER <br />OC SER PROF LIAB <br />2008-03889-NPO <br />10/11/2008 <br />10/11/2009 <br />A <br />IMPROPER SEXUAL COND <br />2008-03889-NPO <br />10/11/2008 <br />10/11/2009 <br />$1,000,000 AGG/$1,000,000 OCC <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT r SPECIAL PROVISIONS <br />ERTIFICATE HOLDERS ARE NAMED AS ADDITIONAL INSURED PER ATTACHED <br />EXHIBIT B <br />ND CG2026 0704 <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />UNDING <br />_CERTIFICATE I-Inl n;:p <br />CITY OF SANTA ANA ITS OFFICERS, AGENTS, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EMPLOYEES AND VOLUNTEERS EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL Xelblr<XDd(0M MAIL <br />CDBG M-25 *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />COMMUNITY DEVELOPMENT AGENCY KMMXKWWWAMXA(X&y X1(JIdjU)(Xi()IiU)41GMUXXX161(IY XXX <br />P.O. BOX 1988 M-25)(1(d4'WAMbXt1k1(d(X9WNAXYK)tXXUWXMI(X"XoiXA6MMXXXXXXXXXX <br />SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE <br />Richard E non CIC ]EREMYZ� <br />ACORD 25 (2001/08) <br />©ACORD CORPORATION 1988 <br />
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